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ISBN-10: 1405169168

ISBN-13: 9781405169165

ISBN-10: 1444323032

ISBN-13: 9781444323030

Content material:
Chapter 1 Cervical Insufficiency and Cerclage (pages 1–4): Bhuvan Pathak, James A. McGregor and T. Murphy Goodwin
Chapter 2 Preterm untimely Rupture of the Membranes (pages 5–8): Paola Aghajanian
Chapter three Preterm exertions: analysis and administration (pages 9–11): Joseph G. Ouzounian and T. Murphy Goodwin
Chapter four Post?Term being pregnant (pages 12–15): Patrick M. Mullin and David A. Miller
Chapter five a number of Gestations (pages 16–20): Ramen H. Chmait
Chapter 6 Fetal development limit (pages 21–25): Patrick M. Mullin and Marc H. Incerpi
Chapter 7 Rhesus affliction and Isoimmunization (pages 26–29): Ramen H. Chmait
Chapter eight prognosis and administration of Macrosomia (pages 30–32): Joseph G. Ouzounian and T. Murphy Goodwin
Chapter nine hard work Induction (pages 33–36): Patrick M. Mullin
Chapter 10 irregular exertions (pages 37–40): Emiliano Chavira and T. Murphy Goodwin
Chapter eleven Operative Vaginal supply (pages 41–44): Marc H. Incerpi
Chapter 12 Shoulder Dystocia (pages 45–47): Joseph G. Ouzounian and T. Murphy Goodwin
Chapter thirteen Chorio?Amnionitis and Postpartum Endometritis (pages 48–51): Marc H. Incerpi
Chapter 14 Vaginal start after Cesarean (pages 52–56): David A. Miller
Chapter 15 Placenta Previa and Abruptio Placentae (pages 57–61): David A. Miller
Chapter sixteen Placenta Accreta (pages 62–66): Richard H. Lee and David A. Miller
Chapter 17 Postpartum Hemorrhage (pages 67–70): Richard H. Lee
Chapter 18 Fetal dying (pages 71–75): Marc H. Incerpi and Ronna Jurow
Chapter 19 Assessing the Obstetric function within the Brain?Damaged child (pages 76–80): David A. Miller
Chapter 20 Lactation administration (pages 81–85): Brendan Grubbs
Chapter 21 center affliction in being pregnant (pages 86–89): Uri Elkayam and T. Murphy Goodwin
Chapter 22 bronchial asthma while pregnant (pages 90–96): Martin N. Montoro
Chapter 23 Thyroid illness in being pregnant: Hyperthyroidism (pages 97–101): Martin N. Montoro and T. Murphy Goodwin
Chapter 24 Thyroid disorder in being pregnant: Hypothyroidism (pages 102–105): Martin N. Montoro
Chapter 25 Seizure problems and complications in being pregnant (pages 106–111): Laura Kalayjian
Chapter 26 Anemia and Thrombocytopenia in being pregnant (pages 112–116): Patrick M. Mullin and T. Murphy Goodwin
Chapter 27 Venous Thromboembolism and Inherited Thrombophilias (pages 117–126): Martin N. Montoro
Chapter 28 Systemic Lupus Erythematosus and The Antiphospholipid Syndrome (pages 127–130): Martin N. Montoro and T. Murphy Goodwin
Chapter 29 Urinary Tract Infections in being pregnant: From Symptomatic Bacteriuria to Pyelonephritis (pages 131–134): Bhuvan Pathak
Chapter 30 Diabetes Mellitus in being pregnant (pages 135–140): Carolina Reyes
Chapter 31 Gastrointestinal problems in being pregnant (pages 141–144): Michael J. Fassett and Richard H. Lee
Chapter 32 Viral Exposures while pregnant (pages 145–149): Alice M. Stek
Chapter 33 HIV in being pregnant (pages 150–155): Alice M. Stek
Chapter 34 Trauma in being pregnant (pages 156–159): Marc H. Incerpi
Chapter 35 high blood pressure in being pregnant (pages 160–164): David A. Miller
Chapter 36 Nausea and Vomiting of being pregnant together with Hyperemesis Gravidarum (pages 165–171): T. Murphy Goodwin and Martin N. Montoro
Chapter 37 the extreme stomach while pregnant: Ovarian Torsion, Appendicitis (pages 172–175): Marc H. Incerpi
Chapter 38 temper and nervousness issues (pages 176–179): Bruce Kovacs and Emily Dossett
Chapter 39 The Older Gravida (pages 180–183): Bhuvan Pathak
Chapter forty weight problems in being pregnant (pages 184–186): Paola Aghajanian
Chapter forty-one Teratogen publicity in being pregnant (pages 187–191): Bruce Kovacs and Emiliano Chavira
Chapter forty two digital Fetal tracking: Definitions and rules (pages 192–195): David A. Miller
Chapter forty three digital Fetal tracking: a scientific process (pages 196–199): David A. Miller
Chapter forty four moment? and Third?Trimester Obstetric Ultrasound (pages 200–202): Giuliana S. Songster
Chapter forty five Prenatal Screening for Genetic issues (pages 203–205): Giuliana S. Songster
Chapter forty six Antepartum trying out (pages 206–210): David A. Miller
Chapter forty seven Preconception Counseling and Reproductive existence making plans (pages 211–215): Carolina Reyes
Chapter forty eight Fetal Lung Maturation, the breathing misery Syndrome, and Antenatal Steroid treatment (pages 216–219): Emiliano Chavira and T. Murphy Goodwin
Chapter forty nine Fetal Interventions (pages 220–224): Ramen H. Chmait
Chapter 50 Vulvovaginitis (pages 225–230): Aaron Epstein and Subir Roy
Chapter fifty one Sexually Transmitted illnesses (pages 231–234): Peyman Saadat and Subir Roy
Chapter fifty two Genital Herpes (pages 235–238): Mario J. Pineda and Subir Roy
Chapter fifty three Pelvic an infection (pages 239–244): Peyman Saadat and Subir Roy
Chapter fifty four Prevention of Postoperative Surgical website Gynecologic Infections (pages 245–248): Uma Chandavarkar and Subir Roy
Chapter fifty five Prepubertal Vulvovaginitis (pages 249–252): Jenny M. Jaque and Claire Templeman
Chapter fifty six Dysmenorrhea (pages 253–255): Uma Chandavarkar and Subir Roy
Chapter fifty seven persistent Pelvic discomfort (pages 256–260): Judy Chen and Subir Roy
Chapter fifty eight irregular and Dysfunctional Bleeding (pages 261–266): Marc J. Kalan
Chapter fifty nine Premenstrual Syndrome (pages 267–270): Sara Twogood and Jennifer Israel
Chapter 60 Adnexal lots (pages 271–274): Judy Chen and Lynda D. Roman
Chapter sixty one Ectopic being pregnant: analysis and administration (pages 275–278): Vanessa sunlight and Donna Shoupe
Chapter sixty two Endoscopic surgical procedure (pages 279–285): Allan S. Lichtman and Claire E. Templeman
Chapter sixty three Postsurgical Adhesion Formation and Prevention (pages 286–290): Claire E. Templeman, Joseph D. Campeau and Gere S. diZerega
Chapter sixty four Uterine Leiomyomata (pages 291–294): Brendan Grubbs and Robert Israel
Chapter sixty five Breast problems (pages 295–299): Heather R. Macdonald
Chapter sixty six Rectovaginal accidents (pages 300–302): Brendan Grubbs and Subir Roy
Chapter sixty seven Prepubertal Vulvar Lacerations and Hematomas, Labial Adhesions, and Prolapse of the Urethra (pages 303–305): Jenny M. Jaque and Claire E. Templeman
Chapter sixty eight lady Sexual functionality and disorder (pages 306–313): Lauren Rubal
Chapter sixty nine Endometriosis (pages 314–318): Lauren Rubal and Robert Israel
Chapter 70 Urinary Incontinence (pages 319–324): John Klutke and Begum Ozel
Chapter seventy one Urinary Tract accidents (pages 325–327): Micheline Wong and Begum Ozel
Chapter seventy two Fistulae (pages 328–332): Micheline Wong and Begum ozel
Chapter seventy three Pelvic Organ Prolapse (pages 333–337): Micheline Wong and Begum Ozel
Chapter seventy four Infections of the reduce Urinary Tract (pages 338–340): Christina Dancz and Begum Ozel
Chapter seventy five Voiding disorder (pages 341–344): Rebecca Urwitz?lane and Begum Ozel
Chapter seventy six Painful Bladder Syndrome/Interstitial Cystitis (pages 345–347): Begum Ozel
Chapter seventy seven Urethral problems (pages 348–350): Rebecca Urwitz?Lane and Begum Ozel
Chapter seventy eight Anal Incontinence (pages 351–354): Ticaria Jackson and Begum Ozel
Chapter seventy nine Preinvasive ailment of the reduce Genital Tract (pages 355–358): Amy D. Brockmeyer and Laila I. Muderspach
Chapter eighty Vulvar Carcinoma (pages 359–360): Merieme Klobocista and Laila I. Muderspach
Chapter eighty one Vaginal Carcinoma (pages 361–363): Huyen Q. Pham
Chapter eighty two Cervical melanoma (pages 364–367): Lynda D. Roman
Chapter eighty three Endometrial Hyperplasia: prognosis and administration (pages 368–369): Huyen Q. Pham
Chapter eighty four Endometrial Carcinoma: assessment and administration (pages 370–372): Melissa Moffitt and Laila I. Muderspach
Chapter eighty five Ovarian Carcinoma: administration (pages 373–375): Lynda D. Roman
Chapter 86 specific Tumors of the Ovary (pages 376–378): Annie A. Yessaian
Chapter 87 Trophoblastic Neoplasia: prognosis and administration (pages 379–383): Annie A. Yessaian
Chapter 88 Precocious Puberty (pages 384–388): Marsha B. Baker and Mitchell E. Geffner
Chapter 89 basic Amenorrhea (pages 389–393): Briana Rudick and Karine Chung
Chapter ninety Secondary Amenorrhea (pages 394–398): Briana Rudick and Richard J. Paulson
Chapter ninety one Galactorrhea and Hyperprolactinemia (pages 399–403): Donna Shoupe
Chapter ninety two Androgen extra and Hirsutism (pages 404–410): Rebecca Z. Sokol and Donna Shoupe
Chapter ninety three Polycystic Ovarian Syndrome (pages 411–415): Donna Shoupe
Chapter ninety four Menopause (pages 416–422): Lauren Rubal and Donna Shoupe
Chapter ninety five untimely Ovarian Failure (pages 423–425): Richard J. Paulson
Chapter ninety six Human Chorionic Gonadotropin and the analysis of Early being pregnant (pages 426–428): Rene B. Allen, Mario J. Pineda, Frank Z. Stanczyk and Richard J. Paulson
Chapter ninety seven Work?up of Infertility (pages 429–432): Melanie Landay and Kristin A. Bendikson
Chapter ninety eight Induction of Ovulation (pages 433–437): Marsha B. Baker and Kristin A. Bendikson
Chapter ninety nine Male issue Infertility (pages 438–441): Rebecca Z. Sokol
Chapter a hundred Uterovaginal Anomalies: analysis and administration (pages 442–448): Donna Shoupe
Chapter one zero one Tubal consider Infertility (pages 449–451): Kristin A. Bendikson
Chapter 102 Unexplained Infertility (pages 452–457): Lauren Rubal and Richard J. Paulson
Chapter 103 Human In Vitro Fertilization and similar Assisted Reproductive options (pages 458–463): Richard J. Paulson
Chapter 104 Oocyte Donation and 3rd social gathering Parenting (pages 464–467): Richard J. Paulson
Chapter one zero five Fertility upkeep and Oocyte Cryopreservation (pages 468–471): Karine Chung and Richard J. Paulson
Chapter 106 Recurrent being pregnant Loss (pages 472–477): Melanie Landay and Richard J. Paulson
Chapter 107 mix Oral Contraceptives, Contraceptive Patch and Vaginal Ring: symptoms, Contraindications, Formulations, tracking (pages 478–483): Daniel R. Mishell
Chapter 108 Noncontraceptive results of mixture Oral Contraceptives (pages 484–489): Daniel R. Mishell
Chapter 109 Injectable and Implantable birth control (pages 490–493): Penina Segall?Gutierrez and Ian Tilley
Chapter a hundred and ten Intrauterine units (pages 494–499): Daniel R. Mishell
Chapter 111 Barrier tools of birth control (pages 500–503): De Shawn L. Taylor
Chapter 112 Fertility understanding kinfolk making plans tools (pages 504–507): Ian B. Tilley and Ronna Jurow
Chapter 113 Emergency birth control (pages 508–511): Penina Segall?Gutierrez and Ian Tilley
Chapter 114 clinical Abortifacients (pages 512–515): De Shawn L. Taylor and Ronna Jurow
Chapter a hundred and fifteen issues of Surgical Abortions (pages 516–520): De Shawn L. Taylor and Ronna Jurow
Chapter 116 Tubal Sterilization (pages 521–524): Jessica Jocson and Robert Israel

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Extra info for Management of Common Problems in Obstetrics and Gynecology, Fifth Edition

Sample text

Neonatal outcome The immediate neonatal period is a time of great risk for the FGR infant. Because of intrauterine malnutrition, stores of glycogen and fat are low, leading to hypoglycemia and poor neonatal temperature control. Hypocalcemia, probably due to relative hypoparathyroidism, is also common and may present as a jittery infant or as neonatal convulsions. Polycythemia and increased blood viscosity may cause sludging in capillaries, predisposing to thrombosis and pulmonary hypertension, cerebral infarction, and necrotizing enterocolitis.

Vascular disease reduces uteroplacental blood flow and transfer of nutrients to the fetus. Pre-eclampsia is associated with abnormal trophoblastic invasion of maternal spiral arterioles, which ultimately results in luminal narrowing and diminished placental blood flow. Sickle cell disease is also associated with FGR, because of local hypoxia secondary to poor uterine perfusion rather than maternal hypoxemia. Finally, conditions in which there is chronic maternal hypoxia (cyanotic heart disease, pulmonary disease, and high altitude) or maternal anemia reducing oxygen transfer to the fetus are risk factors for compromised fetal growth.

Difficulty arises in situations where only the second fetus demonstrates an abnormal pattern and cannot be further evaluated. If no assurance of fetal well-being can be obtained, prompt delivery is advised. The route of delivery depends on the presentation, estimation of birthweights, experience of the obstetrician, and compliance of the patient. In the majority of situations the first twin will present by the vertex and a trial of vaginal delivery may be attempted in some cases. When both twins present vertex, a trial of vaginal delivery may be attempted regardless of the estimated fetal weights.

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